Collegio S. Lorenzo Da Brindisi Rome

Collegio S. Lorenzo Da Brindisi Rome

Application for Admission to

Collegio S. Lorenzo da Brindisi – Rome

The undersigned Major Superior requests the admission to the College for:

Family Name(as in passport):
First Name (as in passport):
Date of Birth: / / / (dd/mm/yyyy)
Place of Birth (City, State):
Nation:
Citizenship:
Passport Number:
Passport Expiration Date:
Religious Name (if any) :
Date of Perpetual Profession: / / / (dd/mm/yyyy)
Date of Priesthood Ordination: / / / (dd/mm/yyyy)
E-Mail Address:

1. Studies to be undertaken: a. University: ……...……………………………………………

b. Faculty: ………………………………… d) Specialization ………………………………

c. Academic degree to be obtained:

?Diploma ?License or Master ?Doctorate

d. Time allowed for completion of studies (accordingto the faculty chosen): …………(years)

2. Curriculum studiorum

a. Studies already completed: ......

……………………………………………………………………………………….....

b. Academic degrees or diplomas already obtained: ......

…………………………………………………………………………………………

…………………………………………………………………………………………

c. Registration at the Roman Universities usually require an “above average” academic performance in previous studies. How would you judge the academic performance of the candidate in his previous studies?

?Average?Above average?Superior

3. Previous activities and assignments: ...... …………......

...... …………......

4. Motive and purpose of the study to be undertaken: ...... …………......

5. Knowledge of languages:

a.What is his mother tongue? ......

b.What other languages does he know? ......

c.What is his knowledge of Italian?

?None ?Sufficient ?Moderate?Good

d.What is his knowledge of Latin?

?Sufficient ?Moderate ?None

e. Does he intend to participate in the Italian language course organized by the

Collegio:?Yes?No

f.Does he plan another way of learning Italian? ?Yes ?No

g.Universities require the knowledge of at least two “modern” languages (NB: three

for the Doctoral candidates). Do you foresee that, during his stay at the collegio, this friar will have to take other language courses? ?Yes ?No

What languages? ......

Who will pay the expenses? (NB: Not included in the Study Grant) ......

6. Health:

a.Does the friar suffer from any medical condition (diabetes, hypertension, eg.)?

?Yes ?No

b.Please indicate the friar’s medical conditions: …….……………………………….. .

…………………………………………………………………………………………

c.Does he need any particular medical attention ? ……………………………………

…………………………………………………………………………………………

d.Does he need special diet ? ………………………………………………………

7. Payment: Who will pay college fees and university tuition:

?your own Circumscription

?Another Circumscription:………………………………………………….

?Requesting a Study Grant from the General Curia

Major Superior:
Jurisdiction / Circumscription:
Address of the Major Superior:
E-Mail Address:
Treasurer (Bursar) :
E-Mail Address:

Date, ………………………

…………………………………………………
Seal and Signature
of the Major Superior

Please, remember to attach the following documents:

  1. a scanned copy of the passport page with personal details
  2. scanned copies of all certificates and diploma

Send us this form, filled, signed and sealed, with the above mentioned attachments to one of the following:

E-mail:

Fax: + 39 06 6605 2435

Ordinary Mail: br. Bona Marcel Rodrigues, Collegio San Lorenzo da Brindisi, c.p. 18382,

00163, ROMA, Italia

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